2022-08-12T19:40:56-05:00 2021-09-30 560571159 BERNARD ROBINSON & COMPANY LLP PO BOX 19608 GREENSBORO NC 274199608 990 2020-10-01 566056582 EVERYAGE UNIT 8284658006 100 LEONARD AVENUE NEWTON NC 28658 LEE B SYRIA PRESIDENT & CEO 8284658006 2022-08-12 1 LEE SYRIA XXX-XX-XXXX OLGA OGANESOV P01279668 3362944494 2022-08-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X LEE B SYRIA 100 LEONARD AVENUE NEWTON NC 28658 58101183 0 X WWW.EVERYAGE.ORG X 1961 NC A CHRISTIAN MINISTRY COMMITTED TO PROVIDING VIBRANT SENIOR LIVING OPPORTUNITIES, DIVERSE PROGRAMS OF OUTREACH, AND COMPASSIONATE HEALTHCARE SERVICES. 18 18 965 130 453 0 590168 282344 42482516 40968183 2236472 12793414 3561746 4056802 48870902 58100743 226276 1224337 0 0 25778654 26573140 0 0 0 20545406 19639746 46550336 47437223 2320566 10663520 147957912 158969277 111939695 111476435 36018217 47492842 A CHRISTIAN MINISTRY COMMITTED TO PROVIDING VIBRANT SENIOR LIVING OPPORTUNITIES, DIVERSE PROGRAMS OF OUTREACH, AND COMPASSIONATE HEALTHCARE SERVICES. 0 0 39443036 1224337 44582031 EVERYAGE OWNS AND OPERATES CONTINUING CARE RETIREMENT COMMUNITIES IN NEWTON ("ABERNETHY LAURELS") AND THOMASVILLE ("PIEDMONT CROSSING"), NORTH CAROLINA, CONSISTING OF RESIDENTIAL LIVING UNITS, ASSISTED LIVING UNITS, AND NURSING FACILITIES PROVIDING ADULT CARE AND INTERMEDIATE AND SKILLED NURSING CARE. 39443036 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 97 0 1 965 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X JOHN WHITE 8284658006 100 LEONARD AVENUE NEWTON NC 28658 PARKER D HOWELL III BOARD CHAIR 1.00 X X 0 0 0 BRAD THIE VICE CHAIR 1.00 X X 0 0 0 BRENDA C ECKARD SECRETARY 1.00 X X 0 0 0 WALTER HOFFMAN FINANCE COMMITTEE CHAIR 1.00 X X 0 0 0 KATHY H WOOD MEMBER-AT-LARGE 1.00 X X 0 0 0 LINDA J MORRIS PAST BOARD CHAIR 1.00 X X 0 0 0 EDDIE BEARD BOARD MEMBER 1.00 X 0 0 0 LARRY BOLICK BOARD MEMBER 1.00 X 0 0 0 ANTHONY J BRANCH BOARD MEMBER 1.00 X 0 0 0 JAMES W BUCHANAN SR BOARD MEMBER 1.00 X 0 0 0 JEFFREY S GILLIAM BOARD MEMBER 1.00 X 0 0 0 GENE HAMILTON BOARD MEMBER 1.00 X 0 0 0 HUNTER MARCH BOARD MEMBER 1.00 X 0 0 0 KELSEY MCCLEAVE BOARD MEMBER 1.00 X 0 0 0 RANDALL L ORWIG BOARD MEMBER 1.00 X 0 0 0 JULIUS W ABERNETHY IV ADVISORY COUNCIL 1.00 X 0 0 0 CORY TOBIN ADVISORY COUNCIL 1.00 X 0 0 0 MARGIE WILEY ADVISORY COUNCIL 1.00 X 0 0 0 LEE B SYRIA PRESIDENT & CEO 40.00 X 352106 0 39000 JOHN WHITE CHIEF FINANCIAL OFFICER 40.00 X 131874 0 11850 AIMEE N REIMANN CHIEF OPERATING OFFICER 40.00 X 248469 0 34165 AMBER T MCINTOSH EXECUTIVE DIRECTOR 40.00 X 188166 0 30460 DOUGLAS P RUSSELL EXECUTIVE DIRECTOR 40.00 X 165338 0 25170 STEPHEN T PATERSON CHIEF QUALITY & COMPLIANCE OFFICER 40.00 X 188675 0 30451 CATHY R COOPER CHIEF HR OFFICER 40.00 X 184424 0 25740 JOHN B LAREW DIRECTOR OF INFORMATION TECHNOLOGY 40.00 X 177945 0 19187 JOYCE B CLINE CHIEF MARKETING OFFICER 40.00 X 168925 0 15948 JOEL A SHAW VP OF FACILITIES MANAGEMENT 40.00 X 154681 0 23987 GARY W SHULL FORMER VP-FINANCE 0.00 X 228006 0 15872 2188609 0 271830 20 1 1 0 TRUSTMARK HEALTH BENEFITS INC 62707 COLLECTION CENTER DRIVE CHICAGO IL 60693 HEALTH CARE ADMINISTRATOR 4606404 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 60694 THERAPIES 2247300 SODEXO INC PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE 1895238 DIVERSIFIED INVESTMENT ADVISORS PO BOX 13029 NEWARK NJ 07188 RETIREMENT SERVICES 1060754 CHAMBLISS & RABIL CONSTRUCTION CO INC 821 COUNTRY CLUB ROAD ROCKY MOUNT NC 27804 CONSTRUCTION 670926 17 104083 178261 282344 RESIDENT REVENUE 623000 38505702 38505702 HOME CARE 621610 2462481 2462481 40968183 1662514 1662514 38045 0 38045 38045 38045 8428783 2702117 0 0 8428783 2702117 11130900 11130900 842 440 402 402 MANAGEMENT FEE INCOME 541200 2026213 2026213 CARES ACT RELIEF FUNDS 900099 1024932 1024932 BUILDING LEASE REVENUE 623000 328200 328200 639010 234503 453 404054 4018355 58100743 44582031 453 13235915 1000000 1000000 224337 224337 1335270 1335270 17770280 15626464 2143816 771147 462110 309037 5152905 4019492 1133413 1543538 1269499 274039 62079 62079 82700 82700 243891 243891 2913012 2480740 432272 183020 87239 95781 447960 274693 173267 566032 566032 2427467 2427467 47321 11216 36105 2742884 2742884 4905910 4629614 276296 531031 531031 FOOD 1408197 1408197 SUPPLIES 1283517 1266059 17458 EMPLOYEE RELATIONS 440324 392206 48118 WORKMENS COMPENSATION 422654 416277 6377 931747 704542 227205 47437223 39443036 7994187 0 6554501 5343607 1959225 1802962 61567 78402 642045 456751 144144808 74523191 69333650 69621617 66150760 78210748 214872 323624 3041292 3131566 147957912 158969277 3891278 3600513 19467480 19227335 73614220 71917012 14966717 16731575 111939695 111476435 X 36012456 47455342 5761 37500 36018217 47492842 147957912 158969277 10663520 811105 0 X 0 1 X 1 0 X 143575 1357653 1995145 590168 282344 4368885 36910909 37817697 40792054 42486331 40969025 198976016 37054484 39175350 42787199 43076499 41251369 203344901 0 0 0 203344901 1735015 2279191 2394732 2224325 1700559 10333822 1735015 2279191 2394732 2224325 1700559 10333822 2811414 2838810 2878478 3514111 4017902 16060715 41600913 44293351 48060409 48814935 46969830 229739438 0.88510 0.88600 0.04500 0.04800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 0 0 0 0 PART II-B, LINE 1: EVERYAGE JOINED TOGETHER WITH NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION, LEADING AGE NATIONAL, AND LEADING AGE NORTH CAROLINA, TO PERSUADE THE GENERAL PUBLIC TO VOTE FOR ISSUES AFFECTING EVERYAGE AND OUR INDUSTRY. NO EXPENSES WERE INCURRED FOR FISCAL YEAR ENDING 9/30/2021. 2302610 2302610 103046238 63882103 39164135 8764914 5794080 2970834 30031046 4847008 25184038 69621617 LONG-TERM REFUNDS PAYABLE 7283264 DUE TO AFFILIATES/RELATED PARTY 6463911 REFUNDS PAYABLE 779513 INTEREST RATE SWAP 779154 ADVANCE DEPOSITS 552966 LINE OF CREDIT 500000 OTHER PAYABLES 300960 RESIDENT PERSONAL FUNDS LIABILITY 67822 RESIDENT ESCROWS 3985 16731575 X PART X, LINE 2: IT IS THE ORGANIZATION'S POLICY TO EVALUATE ALL TAX POSITIONS TO IDENTIFY ANY THAT MAY BE CONSIDERED UNCERTAIN. ALL IDENTIFIED MATERIAL TAX POSITIONS ARE ASSESSED AND MEASURED BY A "MORE-LIKELY-THAN-NOT" THRESHOLD TO DETERMINE IF THE TAX POSITION IS UNCERTAIN AND WHAT, IF ANY, THE EFFECT OF THE UNCERTAIN TAX POSITION MAY HAVE ON THE FINANCIAL STATEMENTS. NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED FOR 2021. 1 CAROLINA SENIORCARE 100 LEONARD AVENUE NEWTON NC 28658 274450562 501(C)(3) 1000000 TO AID IN FUTURE GROWTH OF THE ORGANIZATION AND SUPPORT ITS MISSION TO PROVIDE QUALITY CARE FOR SENIORS. 1 BENEVOLENT ASSISTANCE FOR RESIDENTS WHO ARE UNABLE TO PAY FOR CONTINUING CARE AT THE RESIDENTIAL FACILITIES OPERATED BY EVERYAGE. SIX PRIMARY RESIDENTS RECEIVED BENEVOLENT FUNDS, AND MANY RESIDENTS RECEIVED BLOCK GRANTS. BLOCK GRANTS ARE ASSISTANCE PROVIDED TO MULTIPLE RESIDENTS IN NEED. 6 224337 PART I, LINE 2: THE BENEVOLENT ASSISTANCE FUNDS ARE MANAGED BY THE ORGANIZATION'S FINANCE PERSONNEL TO COVER THE EXPENSES OF INDIGENT RESIDENTS. THE ASSISTANCE IS DISBURSED ON AN AS NEEDED CASE BY CASE BASIS. X X X X X 0 0 0 0 0 0 0 0 0 LEE B SYRIA PRESIDENT & CEO 352106 0 0 0 0 0 39000 0 0 0 391106 0 0 0 AIMEE N REIMANN CHIEF OPERATING OFFICER 248469 0 0 0 0 0 34165 0 0 0 282634 0 0 0 GARY W SHULL FORMER VP-FINANCE 228006 0 0 0 0 0 15872 0 0 0 243878 0 0 0 STEPHEN T PATERSON CHIEF QUALITY & COMPLIANCE OFFICER 188675 0 0 0 0 0 30451 0 0 0 219126 0 0 0 AMBER T MCINTOSH EXECUTIVE DIRECTOR 188166 0 0 0 0 0 30460 0 0 0 218626 0 0 0 CATHY R COOPER CHIEF HR OFFICER 184424 0 0 0 0 0 25740 0 0 0 210164 0 0 0 JOHN B LAREW DIRECTOR OF INFORMATION TECHNOLOGY 177945 0 0 0 0 0 19187 0 0 0 197132 0 0 0 DOUGLAS P RUSSELL EXECUTIVE DIRECTOR 165338 0 0 0 0 0 25170 0 0 0 190508 0 0 0 JOYCE B CLINE CHIEF MARKETING OFFICER 168925 0 0 0 0 0 15948 0 0 0 184873 0 0 0 JOEL A SHAW VP OF FACILITIES MANAGEMENT 154681 0 0 0 0 0 23987 0 0 0 178668 0 0 0 A NC MEDICAL CARE COMMISSION 521309402 65820YLD6 2015-04-08 23293353 TO REFUND THE 2010 BOND ISSUE. 0 0 0 B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2017-12-28 31940936 TO REFUND 2005B AND A CONSIDERABLE PORTION OF 2015B BONDS. 0 0 0 C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 NONEAVAIL 2017-11-30 20655000 TO FINANCE THE COST OF CONSTRUCTING AND EQUIPPING A NEW FACILITY. 0 0 0 A 1950000 23293353 1261826 21565660 465867 2012 1 0 1 1 B 720000 31940936 1295000 30007117 638819 2007 1 0 1 1 C 865000 20655000 325163 20329837 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 C 0 0 0 0 1 0 0 0 1 A 0 B 0 C 0 FORM 990, PART VI, SECTION A, LINE 2 KATHY WOOD AND WALTER HOFFMAN - FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE PRESIDENT AND CEO AND THE CONTROLLER. A COPY OF FORM 990 WILL BE SHARED WITH BOARD MEMBERS BY POSTING THE FORM TO THE ORGANIZATION'S BOARD PORTAL. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND EMPLOYEES OF THE ORGANIZATION HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO EVALUATE COMPLIANCE WITH CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS DETERMINED BY THE BOARD'S EXECUTIVE COMMITTEE. THE PROCESS FOR DETERMINING COMPENSATION INCLUDES THE USE OF AN INDEPENDENT CONSULTANT, SALARY SURVEYS OF SIMILAR ORGANIZATIONS ACROSS THE COUNTRY AS WELL AS THE USE OF COMPARABILITY DATA. COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS SUGGESTED BY THE CEO AND APPROVED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE KEPT ON FILE AT THE ADMINISTRATION OFFICE AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. ALBEMARLE OLDER ADULT HOUSING INC 411 SOUTH FOURTH STREET ALBEMARLE NC 28001 800030872 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 CAROLINA SENIOR LIVING 100 LEONARD AVENUE NEWTON NC 28658 454956541 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 CAROLINA SENIORCARE 100 LEONARD AVENUE NEWTON NC 28658 274450562 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY NC 501(C)(3) LINE 3 N/A 0 LAKE PRINCE CENTER 100 LEONARD AVENUE NEWTON NC 28658 562151716 CONTINUING CARE RETIREMENT COMMUNITY NC 501(C)(3) LINE 11 N/A 0 NEW BERN OLDER ADULT HOUSING INCORPORATE 3800 LOFLAND WAY NEW BERN NC 28562 562133316 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 STATESVILLE ELDERLY HOUSING INC 700 WILS WAY STATESVILLE NC 28677 562192096 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 UCC LIVING CENTERS INCORPORATED 103 CULBREATH ROAD CHAPEL HILL NC 27516 561964906 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) LINE 11 N/A 0 EVERYAGE FOUNDATION 100 LEONARD AVENUE NEWTON NC 28658 562243082 FUND AND SUPPORT THE OPERATIONS & PROGRAMS OF EVERYAGE NC 501(C)(3) LINE 12B, II EVERYAGE 1 UNITED RESIDENTIAL SERVICES INC 513 WEST FRONT STREET BURLINGTON NC 27215 581482333 PROVIDING AFFORDABLE HOUSING TO SENIOR CITIZENS NC 501(C)(3) N/A 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 ALBEMARLE OLDER ADULT HOUSING INC O 66723 CAROLINA SENIOR LIVING O 68417 CAROLINA SENIORCARE B 1000000 CAROLINA SENIORCARE E 6587941 CAROLINA SENIORCARE O 3516851 LAKE PRINCE CENTER E 3269535 LAKE PRINCE CENTER L 851063 LAKE PRINCE CENTER O 6121916 NEW BERN OLDER ADULT HOUSING INCORPORATED O 248201 NEW BERN OLDER ADULT HOUSING INCORPORATED D 116100 STATESVILLE ELDERLY HOUSING INC O 92395 UCC LIVING CENTERS INCORPORATED O 102513 EVERYAGE FOUNDATION C 104083 EVERYAGE FOUNDATION D 3393565 EVERYAGE FOUNDATION O 301616